Long-standing and progressive fibro-inflammatory syndrome of the pancreas due to toxic, metabolic, genetic, autoimmune, obstructive and idiopathic mechanisms
Results in exocrine and/o...
Epigastric pain, often radiating to the back
Flare-ups may mimic ac...
Discontinue tobacco use (3).
Consider pain consultation for chronic opioid management.
Exocrine and endocrine replacement therapy (enzymes and insulin)
Consider advanced pain t...
Follow fasting blood glucose, as the development of type 3 diabetes is most likely related to the duration of disease.
There is no evidence to suggest that pancre...
Conwell DL, Lee LS, Yadav D, et al. American Pancreatic Association practice guidelines in chronic pancreatitis: evidence-based report on diagnostic gu...
235494005 Chronic pancreatitis (disorder)
235952002 Alcohol-induced chronic pancreatitis (disorder)
235954001...
EUS can help differentiate chronic pancreatitis from pancreatic cancer.
Pain management is a central component in managing chronic pancreatitis.
Assess for exocrine pancreatic insufficie...
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FIG. 2.34. Choledocholithiasis. Coronal thick slab MRCP demonstrates distal common bile duct stone (<italic>arrow</bold>).
FIG. 3.151. Choledocholithiasis. Small stone is present in distal common bile duct (<italic>arrow</bold>) on axial HASTE image.
FIG. 3.151. Choledocholithiasis. Small stone is present in distal common bile duct (<italic>arrow</bold>) on axial HASTE image...
<bold><italic>Figure 15-14</bold> Perforated peptic ulcer of stomach.</bold>
Gastric ulcer. The stomach has been opened to reveal a sharply demarcated, deep peptic ulcer on the lesser curvature.
Duodenal ulcer. A sharply punched-out peptic ulcer of the duodenum is situated immediately below the pylorus.
<bold>Fig GI 10-10 Peptic ulcer disease.</bold> (A) Large incisura (black arrow) simulating a filling defect on the greater curvature. The incisura is incited by a long ulcer (white arrows) on the lesser curvature. (B) Double pylorus. The true pylorus and the accessory channel along the lesser curvature are separated by a bridge, or septum, that produces the appearance of a discrete lucent filling defect (arrow).
<bold>Fig GI 10-10 Peptic ulcer disease.</bold> (A) Large incisura (black arrow) simulating a filling defect on the greater cu...
<bold>Fig GI 12-5 Acute pancreatitis.</bold> (A) Complete gastric outlet obstruction. (B) As the acute inflammatory process subsides, some barium passes through the severely spastic and narrowed second portion of the duodenum (arrows).
<bold>Fig GI 12-5 Acute pancreatitis.</bold> (A) Complete gastric outlet obstruction. (B) As the acute inflammatory process su...
<bold>FIG. 107.2.</bold> An anteroposterior view of the hips in a 23-year-olf female patient with osteonecrosis of both femoral heads <italic>(arrows)</bold>, associated with systemic lupus erythematosus.
<bold>FIG. 107.2.</bold> An anteroposterior view of the hips in a 23-year-olf female patient with osteonecrosis of both femoral...
<bold>FIG. 107.5.</bold> An anteroposterior view of the knee in a 23-year-old female patient with osteonecrosis of the femoral condyle <italic>(arrow)</bold> associated with systemic lupus erythematosus.
<bold>FIG. 107.5.</bold> An anteroposterior view of the knee in a 23-year-old female patient with osteonecrosis of the femoral ...